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1609883438
BRUCE K JACKSON
REDONDO BEACH, CA
NPI
1609883438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA A24716)
Enumeration Date
2006-08-02
Last Update Date
2015-01-27
Business Address
Mr. BRUCE K JACKSON M.D.
520 N PROSPECT AVE STE. 300
REDONDO BEACH, CA 90277-3041
Phone number: 310-372-1156
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Mailing Address
Mr. BRUCE K JACKSON M.D.
1360 W 6TH ST SUITE 200
SAN PEDRO, CA 90732-3514
Phone number: 310-547-9922
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